| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $18.93 | $18.93 | $19.29 | |
Aetna
| Professional | $14.20 | $20.14 | $67.12 | |
BCBS
| Professional | $35.39 | $43.32 | $47.30 | |
Cigna
| Professional | $23.44 | $40.29 | $59.58 | |
Medica
| Facility | $18.93 | $31.05 | $64.15 | |
Medica
| Professional | $30.76 | $116.64 | $371.24 | |
United
| Facility | $250.09 | $250.09 | $250.09 | |
United
| Professional | $24.81 | $49.60 | $130.36 |